You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
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EAP-1012A | Limited Authorization to Release Records Transfer of LIHEAP Application to Community Navigation Provider (English) | 06/01/2024 |
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DDD-2153A | Likely Eligibility Tool (LET) | 03/01/2023 |
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EAP-1006A-S | LIHEAP Portable Fuel Certification (Spanish) | 11/01/2023 |
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EAP-1006A | LIHEAP Portable Fuel Certification (English) | 11/01/2023 |
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EAP-1002A-SLP | LIHEAP Application - Large Print (Spanish) | 05/01/2024 |
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EAP-1002A-LP | LIHEAP Application - Large Print (English) | 05/01/2024 |
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EAP-1002A-S | LIHEAP Application (Spanish) | 05/01/2024 |
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EAP-1002A | LIHEAP Application (English) | 05/01/2024 |
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LCR-1036A-S | Life-Safety Inspections (Spanish) | 02/01/2020 |
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LCR-1036A | Life-Safety Inspections (English) | 02/01/2020 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-1724A | Application Signature Pages | 07/01/2023 |
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UIA-1029A | Application for Transient Lodging Seasonal Employment Status (English) | 04/01/2024 |
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LCR-1084A | Application for Renewal or Amended HCBS Certificate for Independent Providers | 02/01/2023 |
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DDD-2114A-S | Application for Redetermination of Eligibility at Age 18 (Spanish) | 09/01/2023 |
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DDD-2114A | Application for Redetermination of Eligibility at Age 18 (English) | 09/01/2023 |
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UIA-1069A | Application for Mixed Earners Unemployment Compensation | 04/01/2021 |
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FNS-252-2 | Application for Meal Services | 04/01/2019 |
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CS-124 | Application for IV-D Service/Genetic Testing Agreement / Solicitud para servicios del IV-D/acuerdo para pruebas geneticas | 12/01/2017 |
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LCR-1025A-S | Application for Initial HCBS Certification (Spanish) | 09/01/2020 |
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LCR-1025A | Application for Initial HCBS Certification (English) | 09/01/2022 |
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